Abstract:We present the case of a 67 year-old cirrothic man, referred to our hospital for disorientation, hyporexia, nausea, vomiting and hyperglycemia. At admission he was pyretic and disoriented, no neurological signs were present and laboratory examination showed mild hyperammonemia with normal inflammatory markers. Chest X-ray demonstrated a probable pneumonia and urinary infection was found, therefore systemic antibiotic therapy was initiated. After one week of antibiotic therapy, despite hyperammonemia resolution… Show more
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